Staying on Track With Breast Cancer Screening

Breast cancer screening works best when it is part of an ongoing plan rather than a one-time decision. Knowing when to begin mammograms, understanding your personal risk factors, and reviewing changes in your mammogram report can help you and your provider decide what screening approach is appropriate for you.

For most women at average risk, screening mammograms should begin at age 40 and continue every one to two years. If you are in your twenties or thirties, your annual visit is still an opportunity to review your personal and family history so your provider can determine whether you may need screening earlier.

Some women may benefit from earlier or additional screening. Factors that can affect recommendations include a strong family history of breast or ovarian cancer, a known genetic change such as BRCA1 or BRCA2, a previous biopsy showing higher-risk cells, or a history of chest radiation at a young age. Genetic counseling may also be discussed when certain patterns of cancer are present in a family.

Breast density is another consideration. Dense tissue is common and is identified through mammography. Because it can make some cancers more difficult to see and is associated with increased breast cancer risk, your provider may consider your density category along with your age, family history, and other risk factors when deciding whether additional imaging may be helpful. The physician’s main article includes details about mammograms and breast density as part of a broader discussion of screening and early detection.

There are also simple ways to prepare for a mammogram. If you still have periods, you may prefer to schedule when your breasts are usually less tender. Avoid deodorant, powder, and lotion on the chest and underarms that morning, and make sure prior mammogram images are available for comparison when possible. Let the imaging center know if you have breast implants or have had previous breast surgery.

Gulf Coast OB/GYN can help patients in Pascagoula review their risk factors and discuss whether their current screening schedule fits their individual history.